NPI | 1548930076 |
---|---|
Former Name | JAMIE GRIEBEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0013704) |
Additional Taxonomies | 101Y00000X Counselor |
Enumeration Date | 2021-09-16 |
Last Update Date | 2021-09-29 |